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Home My WebLink AboutTR-6372 James F. King, President Jill M. Doherty, Vice-Preaident Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. # 0337C Date: August 1, 2008 THIS CERTIFIES that the construction of an attached deck and for the existin bg each stairs At 1115 Terry Lane, Orient, New York Suffolk County Tax Map # 14-3-3 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 04/17/06 pursuant to which Trustees Permit # 6372 Dated 06/21/06. Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of an attached deck and for the existing beach stairs The certificate is issued to HAROLD & JOAN KEIFER owner of the aforesaid property. .,~~Of SOUryo~ ~~ ~~ • ~~0,~ ~y~~Utii'1,~°,~' Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (831)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE fs. aGj Authorized Signature n f,J James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel ~O~apF SOUry~y AT ~~OOUNIY BOARD OF TOWN TRUSTEES Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631)765-6641 TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR APRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 15~ day of construction Project complete, compliance inspection. 1IaSlD `~ ~I~" -r ~~" '/z constructed n LJ . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 15t day of construction Y, constructed L Project complete, compliance inspection. . . ;''-.--, .~,-.....................---.----.--.-.~~,~.........--.-.----.----,~~.,-.,----.--.~,~,~.;:.-~ TERMS and CONOf11QNS 11ie I'etmtttee Harold & Joan Kiefer ~~""At 1115 Terry Lane , Orient '.' .. N. Y..IS. = cbe coosldetatioo 'or the l<q',~ of chc PCmut does ~ And p<<$Cdbe to the fol~ 1. 'I1w the said Doud of Trustees aod the Town of SouthoId ate relasod -from U1y aod aU damages, oc dalms foe.daaIagcs. of ..,.lIs ~. directly . blcIlrec:dy as .. l'eSUIt of 8I1Y o~. ~ .{ledotmeclpusll&Clt;'(O.:w..~fO!!~e ~~.!'.!l!..~ IdsOt IJe., OW!', eJt>ease, defltod -.y aod aU such _'Inltt.u-t ",.. Ibltd.,atdes. aod the said I'<wnf_ ."''I''e$ fullllabUlty wiIh nSpect cheteto.~-tIJe ~YI'.p'~exdusiOD of the Iloarcl of Tra$tCa of cbe To,m 01. ~ . 2. That rhls I'eft\JIt Q'~d lor .. period of. 24_ whldds ~ to be cbe -,..fed time. required .ocOmplcte the work Inwl..ed,....t.ihoald ~ waaaat, nqaest. lor In -aoo ....y be tQade to che Iloard at .. lIlU il4ce: . . . 5. That this PellUit Ihould be Rialoed Jadefioitely. or as 1008 as che said PermIuee 1risbCs . to . ".I.....ln the ItNCtUU or ptqJect lavolved, to provide evldeooe to anyone 0>CKJemeCI chat aa1h- .~ .... orI&itWly oLt.IoecI. 4. That 1h.e wodc lnwlved will be subject to the /os{>ccdoo aod appt'Oftl of cbe Board ex Its *&COts, aod ooo-<lOOlpllao<:e with the ptOTisioos of the Of'lgImotl"t appllcation, may be calISe f. mocadoo of this Petmit by ~iIadoo of the said Boo.td. S. That thete will be 00 uoteasoooble u.tetfetcOCC with anigadoa as .. muft of the wotk heniIa uichodzecL . . '6. 'I1w thete shall be 00 IntetfetCOCe with the right of cbe public to pass aod repass ~ the beach het.veeo blP . aod low water GWb. 7. That If futute opetatioos of the Town of Sou1h9ld tequIn cbe.l'CIDOft1 aod/rx lltetalloas In the 'ocftl.,n of.1bc 1IOCk heteln .~ or U, In the oplploo of.dleBoard of TausIeer, die. ....rb.all cause aoteMOI1IbIe obsttud:lOtl to free aaYigatloo, the uJcI p....mt..... will be ~ "fOIl due ootb, to RIDOVC or liter this wodc or project hereln staled wlcho\lt ~ to the ~ . of $opchold. . '. . .8. That the said Iloatd will be oodfled by tbe I'etmlttte or che ~edoo of the wodc aa1h- odIed. 9. That the .....rmI~ will dltaln aU other permits aod -~ 6at may be requh'ecI . 1"-'" co this penalt ~ may'be rebject to 1'eVO!r.e upota faUare to obtalo -. . . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 21, 2006 Mr. & Mrs. Harold Kiefer 54-34 64th St. Maspeth Queens, NY 11378 RE: 1115 TERRY LANE, ORIENT SCTM#14-3-3 Dear Mr. & Mrs. Kiefer: The Board of Town Trustees took the following action during its regular meeting held on Wed., June 21,2006 regarding the above matter: WHEREAS, HAROLD & JOAN KIEFER applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated April 17, 2006, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 21,2006, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has eonsidered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 97 of the Southold Town Code, 2 . . WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of HAROLD & JOAN KIEFER to construct a deck attached to the existing dwelling, and for the existing beach stairs, and as depicted on the survey prepared by John C. Ehlers last dated September 28, 2000 and plans prepared by Harold Kiefer dated September 4, 2002. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, ~07~ Jam~F~'King ~ ;/ President, Board of Trustees JFK/lms . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: oflXln 'f /t1;u")/d /) Lo.,pJ. Please be advised that your application dated '1/17/01" reviewed by this Board at the regular meeting of q,/~ '/()ft, following action was taken: has been and the ( V) Application Approved (see below) ~) Application Denied (see below) ~) Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in Chapter 97 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: \yU1.OJ 1 ~('UOn - ~ SO, 00 TOTAL FEES DUE: $ So ,DD BY: James F. King, President Board of Trustees . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: 0/13 10( 1b~, .j-~I..( f;,ek "'-- Name of Applicant: Name of Agent: Property Location: SCTM# & Street fr ( 1.--/ - ] -) Brief Description of proposed action: f) E.0 J..., I /Vlal yV (LA I . H.... () I c1<.ck. e n( I\.j.. ..eln h'<-<H Type of area to be impacted: v;: _Saltwater Wetland _Freshwater Wetland _Sound Front _Bay Front Distance of proposed work to edge of above: ~ of Town Code proposed work falls under: _Chapt.97 _Chapt. 37 _other / Type of Application: _ W etland _Coastal Erosion _Amendment _Administrative _Emergency Info needed: Modifications: Conditions: Present Were: _J.King _J.Doherty _P.Dickerson~D. Bergen_J.Holzapfel Other: MailedIFaxed to: . Date: - -------,.--- . Telephone (631) 765-1892 . Town Hall 53095 Route 25 .. P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the South old Town Conservation Advisory Council held Wed., June 14,2006, the following recommendation was made: Moved by Jack McGreevy, seconded by James Eckert, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit application of JOAN & HAROLD KIEFER to construct a deck onto the existing dwelling, and for the existing beach stairs. Located: 1115 Terry Lane, Orient. SCTM#14-3-3 Vote of Council: Ayes: All Motion Carried ~ - 0101lN";"l13S ..,- ~"+- -/- -~71 I """ // II .~I~ 0 I <>Z ._.=...~ ;Iii ~ ,ll 1 I c !itij g ~ ~ . . . I i I . ;I!iI ~ ,~ ~~~ ~\lIg - .- 9i !l !ii~ _!i ~ - 2~* ;5.~>- \ ~;s ~i" ~.Ii '<5:'''' ~ >-..... ~ ~ , ~~- - ~~ , ~"'i " e +,i , 'I" ~~ ;~ ~ H"~~ " i!~I' " 5 ;::: ffi!i ~ ~ 'i ~~ ~ j;,i: U,il h$b !!mI)j ~Hhnl I ;;jHI iihui i iij! ;;iii ~ ~ ! ~ ! II q I III II I"" ;')'!1 I! I! II ~ . ! ! J ! iiHn hHjj ie!!! I Iii < . ~ l ~ I, II "~I ,. ;:; ~HI 'r:lq :~ . i ~ 11!l d 'I + 1'11 <}'1j'1< T- II .I, II ; I Idii J . PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND . MAIliNG ADDRESS: P.O. Box II 79 Southold, NY II971 OFFICE WCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: James King, President Members of the Board of Trustees ,IUN 1,. 2005 From: Mark Terry, Senior Environmental Planner L WRP Coordinator Date: June 15,2006 Re: Proposed Wetland Permit for JOAN & HAROLD KIEFER SCTM#1000-14-3-3 JOAN & HAROLD KIEFER request a Wetland Permit to construct a deck onto the existing dwelling, and for the existing beach stairs. Located: 1115 Terry Lane, Orient. SCTM#14-3-3 The proposed action has been reviewed to Chapter 95, Waterfront Consistency Review of the Town of South old Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the L WRP Consistency Assessment Form submitted to this department as well as the records available to me, it is my recommendation that the proposed action is generally CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 95, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Please contact me at (631) 765-1938 if you have any questions regarding the above. ------r . . Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Han 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Applica~ /\Velland Permit Application ~nistrative Permit AmendmentlTransfer/Extension ./Received Application: (k, ...--Received Fee:$;-O-' ~ - 6J1'6/r::lo ~ompleted Application _Incomplete _SEQRA Classification: Type I_Type ll_Unlisted_ _ Coordination:( date sent) _ L WRP Consistency Assessment Form CAC Referral Sent: ----PateofInspection: 6htVO/" - bl13)QI,. _Receipt of CAC Report: _Lead Agency Determination:_ _Technical Review: ~ublic Hearing Held: :S7/'l/Ol- _Resolution: - bl<l-\)Ob I II JY ~ Sl,~loh ..... H/l-ko" D ;<', E P F J<:" Name of Applicant :To lUll Address ///S JeRr.;,y t....1I/ ...?'J!<letV/ ~/lJT. V'I 11957 t,3/-3.;l3-6/'-I9 Phone Number:C ) 71 ~ - &"<1 g - J3 (" 9 . Suffolk County Tax Map Number: 1000 - 1 L/ - 3 - 3 . 't" s>< ~ 1.\\0 ~ q;.l,) 0.# ~\\~ Property Location: 0 I<. I € /\IT 'Pc, J .v T 7/J UJ AI 0 r- S" u7/1 0 L..D . JJ1A.J {I/ RoA-~ (51< .:15") t!lk:/"'IJT (provide LILCO Pole #,.distance to cross streets, and location) " AGENT: (If applicable) APR 1 7 2006 Address: Phone: c~ q~IOf ~ 4Itoard of Trustees APPlica~ GENERAL DATA Land Area (in square feet): (,,-7/ :;z J '-I sF Area Zoning: R-go Previous use of property: Intended use of property: STiliI>-> TO t3"'II<-H + D"-<-K It DO 101) 10 ;-Ioos e Prior permits/approvals for site improvements: Agency j)ec-, Date 9j.:u( /02- , _ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? v"'No Yes If yes, provide explanation: Project Description (use attachments ifnecessary): S7/UR5 TiJ 13011<-1--1 V- \)Q<-I( A!>D-e() ro HOI.l5"t' 4Itoard of Trustees APPlica~ WETLANDITRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: S'/AJRS 70 GeA-tH -.J.- D.e e-K i'JPDE'1) JO Hovs€- Area of wetlands on lot: square feet Percent coverage oflot: % Closest distance between nearest existing structure and upland edge of wetlands: / () ( feet Closest distance between nearest proposed structure and upland edge of wetlands: g' 5' feet Does the project involve excavation or filling? v/ No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters ofthe town that may result by reason of such proposed operations (use attachments if appropriate): It/o AI ..e T- - ~oard of Trustees APP1ica4lt.n COASTAL EROSION APPLICATION DATA Purposes of proposed activity: 5'TJJ Ii< S TcJ IJ"MI-/ Are wetlands present within 100 feet of the proposed activity? No / Yes Does the project involve excavation or filling? V~No Yes lfYes, how much material will be excavated? (cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent ofthe environmental impacts reasonably anticipated resulting from implementation ofthe project as proposed. (Use attachments if necessary) V()IJ-<', . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of CO-{;t~~_:;~~1d--1Jf.L~--------- STATE OF NEW YORK) AFFIDAVIT OF POSTING I, /-11t R~ k i) ~ (<(, e F e,< , residing at II I ::r ~ ;2 i2' y f-/f/ Ci i2 / P NT ?6t IV r tV. ~ being duly sworn, depose and say: That on the,21. day of /11 fl Y , 200t;, I personally posted the property known as 1/iS- Tel:?i<y /-.,;)AlF CJiZ./<('.;F SC.TI\1# 14-:'3 - ~ by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held (Veri, ej...u1U 41, c100b - On 01 af::Xit1 fLJ.: 30 pm. Dated: M.~ L-~) UlDb ~~ ?Pi!+=- (signature) U S}'Iorn to before me this 2>l\ll.day ofM 00 b llEtANIE DDROSKl NOTARY PUBLIC, State of New'lJrll No. 01004634B70 CommlsQ~a/ifjed.in Suffolk County SIan expires September 3'O.~b ~ Ul Ul ru .-'l ..D tr PROOF OF MAILING 0 Ul ATTACH CERTIFIED MAl ~ r Ul Name: Ul o Addre~ ~ ,'"' I NY '1l~'33'" ". i 'u"._,_ .___.~--,..---' ;; () 39 III- 00')'1 .---.;:...-;-LI~~/~,~. .> "i,t;r,.../ I '-,/.v ------I~~-:: \~ ark ---iT(~l' ')~, ',", 't~~iif6BB -----~-., I -_/~:;/ .... ,,~--4~ie~ D Rc<:" CrIST IYl i2.5 ]) 1<0$ e o c2 ScoTIS C~ve /..Jl."- ~ SErJ'J.uKe.T tJf{ 0 1.'-- ), " , ,,',;-! I(".Tl1eRIN~ L"vC.J./1?IW rH Jo'3-11 7&' s r /-fou.J4 R ';) eMC H N. m o o r'- /I'} j;: ,; Vii" J LIt'5 K 6"(t+AJ I 5' 3Sr;, 7S R,:2S ([)!<IC"IVI ;tJ.lf /1"101 )1 if.' iV, . .n.._h......un_....nn____.._.___..._n_nn_n___nd_._n_u Bn,'<JoJ ~/ S ('<1 TTs Cd 1i1{3 )..t4AJf? ,;; ill . :;/T~9.;;;;.;.--uilim---i-i.;.;,.3--m----m 1!iI.ll"~ 1Il'!ll!r,l, . , , STATE OF NEW YORK COUNTY OF SUFFOLK J/;4 R tJ I-. f) -r ;!, e ~ e R- , residing at s- L./ -- '5 </ _ _~-';~ .=r m~SDe III AJ. r 1/37?', being duly sworn, deposes and says that on the _2 day of rYI A ~ ,200(", deponent mailed a tme copy of the Notice set forth. in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shovm on the current assessment roll of the Town of South old; that said Notices were mailed at the United States Post Office at HI/SHI jJ(;, N.~ fI1A5p<T!-/ , that said Notices were Illailed to each of said persons by (=fifi",)(regi.~",) nuil. ' ~~ ,~i ~1L- " --? ./ MELANIE DDROSKI NOTARY PUBLlCbState of New 'llldl No. 010 4634B70 Qualijied in Suffolk County ~ T\ 1 Comr\IlSSIOn Explrea September ao,au.vo 617.20 PROJECT ID NUMBER APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1. PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) . SEQR 1. APPLICANT/SPONSOR K,eFeR. 2. PROJECT NAME :::Jt:JAI.!.;- H/l-Ro/.-'fJ 3.PROJECT '-OCATION: o~'f",'T j:1""T /IIS T<> i"<y I.Jj Municipality County 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks ate - or provide map 1/1.0 Te /2 R'f t.N +- m;:JJfIl ROA \>. 5. IS PROPOSED ACTION: 0 New D Expansion o Modification / alteration 6. DESCRIBE PROJECT BRIEFLY: ;!DP 5 Tl9liz. 5> T6 8", A ~ II + DecK 7. AMOUNT OF LAND AFFECTED: Initially acras Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? DYes o No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ~ Residential D Industrial D Commercial DAgriculture o Park I Forest I Open Space D Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) [KIves ONO If yes, list agency name and permit I approval: 1>.e~ 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? IX! Yes DNO If yes, list agency name and permit I approval: STAIRS To f3~M_/j ~Ro", .~EC . 1G: A ~~LT OF PROPOSED ACTION WILL EXISTING PERMIT / APPROVAL REQUIRE MODIFICATION? es No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name ~fl;/~ Date: Signature -p ..v If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment . . PARTII- IMPACT ASSESSMENT (To be completed by Lead Aoencvl A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? tfyes, coordinate the review process and use the FULL EAF. DYes DNo B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another involved agency. DYes DNo C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existjng air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: I I C2. iesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood characte~ Explain brieflY;l C3. relation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly I C4. 1 commvnity's existing plans or goals as officially adopted, or a change in ose or int.nsi~ of ose ot land or other na'",al resouce.s? Explain b"efly I C5. rowth' subsequent development, or related activities likely to be induced by 'he proposed action? Explain briefly; I C6. Long tenn, short term, cumulative, or other effects not identified in C1-C5? Explain briefly: I . I C7. Other impacts (including chanQes in use of either Quantity or type of enemy? Exolain briefly: I l D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? (If yes, explain briefly: I DYes 0 No I E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: DYes DNo I 1 PART 111 - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or othelWise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impactofthe proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FUL EAF and/or prepare a positive declaration. Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed actio WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi detennination. Name of Lead Agency Date Pnnt or Type Name of ResponSible Officer In Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) ~oard of Trustees ApPlica~n County of Suffolk State of New York ~i2o~0 ,T /~e Fe K' BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HISIHER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. y~L~~~~ nature SWORN TO BEFORE ME THIS /7tJ DAYOF~,20~ MELANIE DOROSKl NOTARY PUBLIC, State of NewM No. 01004634870 Qualified in Suffolk County J Commission Expires September 30...2QO" } . . Board of Trustees Application County of Suffolk State of New York -ftA ICDl... b J -lit ~ Fe7< . BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HISIHER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENT ATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. =p1~ 5?:~/. Slgllature ,y SWORN TO BEFORE ME THIS ll-tf; DAY OF WI al ,20~ MELANIE OOROSKI NOTARY PUBLIC State of New 'I1lIfl No. 010b4634B70 Qualified in Suffolk County CommiSSion Expires September 30. 2&,D ~ . . APPLICANT/AGENTIREPRESENT ATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics nrohibits conflicts of interest on the Dart allOW" officers and emolovees. The DUfDOse of this fonn is to nrovide information which can alert the town of nossible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: ~ F e ~ IIA RtJ"-D ,T (Last name, first name, -lpiddle initial, unless you are applying in the name of someone else or other entity, such as a company.lfso. indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or official map Other (If "Other", name the activity.) Building Trustee Coastal Erosion Mooring Planning i/~ Do you'personally (or through your company. spouse, sibling, parent:, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest '''Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% ofthe shares. YES NO ~ If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The toWII officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): _A) the owner of greater than 5% of the shares of the corporate stock of the applic~nt (when the applicant is a corporation); _B) the legal or beneficial own~r of any interest in a non-corporate entity (when the applicant is not a corporation); _C) an officer, director, partner, or employee of the applicant; or _D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I 200& s:: /0.. F E' R., -I . . APPLICANT/AGENTIREPRESENT ATIVE TRANSACTIONAL DISCLOSURE FORM The Town of South old's Code of Ethics nrohibits conflicts ofinterest on the Dart of town officers and emolovees The oumose of this form is to orovide information which can alert the town ofoossible conflict" of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: ~ e r ~ K:' JO Ii N rJ- J/A go I.-. D . (Last name. first name, -Ipiddle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or official map Other (If "Other", name the activity.) Building Trustee Coastal Erosion Mooring Planning ~ Do you personally (or through your company. spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southotd? "Relationship" includes by blood, marriage, or bus'iness interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. / YES NO If you answered "YES", complete the balance of this fonn and date and sign where indicated. Name of person employed by the Town of South old Title or position of that person Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, ot child is (check all that apply): _A) the owner of greater than 5% of the shares of the corporate stock of the applicllot (when the applicant is a corporation); _B) the legal or beneficial own~r of any interest in a non-corporate entity (when the applicant is not a corporation); _C) an officer, director, partner, or employee of the applicant; or _D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this _day of Signature Print Name 200 Form TS I Town of South old . . LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. * Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of South old Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the L WRP policy standards and conditions contained in the consistency review law. Thus. each answer must be explained in detail. listinl!: both supportinl!: and non- supportinl!: facts. If an action cannot be certified as consistent with the L WRP policy standards and conditions, it shall not be undertaken. A copy of the L WRP is available in the following places: online at the Town of Southold ' s website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# I L/ 3 - :s . MAY 1 8 2006 PROJECT NAME .;;:;, iJ AJ d- I-I/J Ro l.. I) ~ e Fe iZ.. . The Application has been submitted to (check appropriate response): Town Board 0 Planning Board 0 Building Dept. 0 Board of Trustees ~ I. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) o o (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: ~ Nature and extent of action: If})/) D~('/< To /-Iov:;~ tf- E'f:T: A/{,. 5 rdJ~s; . . Location of action: Site acreage: /, ,5'- 7 Present land use: Present zoning classification: '-' ^ - :Yo 2, If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: /'7k i2 (j '-D J ,I(; e Fe ~ r; -::orA 'I (b) Mailing address: ~ L( -? l/ {; </ ,4j n-'7 Pi" T Ir 1 11/, y 1/37?' '///5 /<"1</<':1 IItNe t!:)r:/t'n/I 1/9~-7 71'7- <599'- J 3' l' (c) Telephone number: Area Code (&3/ - 32 "5 - C') l<-j <(. , (d) Application number, if any: Yes [KJ NoD Will the action be directly undertaken, require funding, or approval by a state or federal agency? If yes, which state or federal agency? 'D f. ~ C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy I. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See L WRP Section III - Policies; Page 2 for evaluation criteria. DYes D No I'XI Not Applicable -771:5 /5 PK'\JftT.e. ?'~orR.T'(. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See L WRP Section III - Policies Pages 3 through 6 for evaluation criteria DYes D No ~ Not Applicable rlJ,5' , S'ep i<. IV i4 7 ..f r=='i"" e"!Z-I' Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See L WRP Section III - Policies Pages 6 through 7 for evaluation criteria DYes 0 No IZI Not Applicable 'iI-/' "5 , 5 P P I I) II J' .., ~ I I~ 0/) e i< r y . I Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section 111- Policies Pages 8 through 16 for evaluation criteria DYes 0 No ~ Not Applicable rl/l5' 1'0: ,Tv?? 5'TAIKS, u.;1L<.. /1/<97 ('Nus"" EKCJSu"V. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria DYes 0 No C8lNotApPlicable 71/.., 7>" I S .A/ a WIf 7" R lC U III CJ F (= Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See L WRP Section III - Policies; Pages 22 through 32 for evaluation criteria. o o ~ Yes No NottpPlicable . /JII? 15 rl(1 rJ/47-+> Pf20pP kl y, Attach additional sheets if necessary Policy 7. Protect and improve air quality in tbe Town of Soutbold. See LWRP Section III _ Policies Pages 32 through 34 for evaluation criteria. DYes 0 No ~ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See L WRP Section III - Policies; Pages 34 through 38 for evaluation criteria. DYes 0 No IZI Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See L WRP Section III - Policies; Pages 38 through 46 for evaluation criteria. o YeD No~ Not Applicable -'i;/, '5 15 o ~ 0 f IZ I V IJ '''' [ /2:o?e k 1 Y . Attach additional sheets if necessary I WORKING COAST POL&S . Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See L WRP Section 111- Policies; Pages 47 through 56 for evaluation criteria. DYes 0 No ~ Not Applicable -/j}, :5 /5 ?k / t! .4 r ~ PRo p-<,;z, 1 f( "_ " Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section 111- Policies; Pages 57 through 62 for evaluation criteria. DYes 0 No ~ Not Applicable rrJ /5 <5 ;'>,;( / \/ ;4. 7 -<' o I KO/>ek- r ,; t ( Attach additional sheets if necessary Policy 12. Protect agricuIturallands in the Town of Southold. See L WRP Section III _ Policies; Pages 62 through '5 for evaluation criteria. DYes 0 No~ Not Applicable /71; 5 /5 PIC. 1 \J If. 7 ~ ~oP"R. TV , Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. DYes 0 No r8J Not Applicable T#;5 /5 ?R./vAT.., 1~oP)eR7V, t I PREPARED BY riPe /... D ..:r A! e F (J K I TITLE DATE -0%/t:> 0 , New York State Department of Environmental Conservation Division of Environmental Permits Building 40 - SUNY, Stony Brook, NY 11790-2356 Telephone (631) 444-0365 Facsimile (631) 444-0360 ~ - ~ Erin M. Crotty Commissioner MAY 1 8 2006 September 24, 2002 Joan & Harold Kiefer 54-34 64th Street Flushing, NY 11378 RE: 1-4738-02363/00003 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please read all conditions carefully. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Sincerely, :/!~ SLA/ls Enclosure Sherri L. Aicher Environmental Analyst NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION EFFECTIVE DATE Seotember 24, 2002 EXPIRATION DATE(S) DEC PERMIT NUMBER 1-4738-02353/00003 FACILITY/PROGRAM NUMBER(S) .PERMIT Under the Environmental Conservation Law September 24,2012 TYPE OF PERMIT. New 0 Renewal 0 Modification 0 Permit to Construct 0 Permit to Operate o Articie 15, Title 5: Protection of Waters o Article 17, Titles 7, 8: SPDES o Article 27, Title 9; 6NYCRR 373: Hazardous Waste Management o Article 15, Title 15: Water Supply o Article 19: Air Pollution Control o Article 15, Title 15: Water Transport o Article 23, Title 27: Mined Land Reclamation D Article 34: Coastal Erosion Management o Article 15, litle 15: Long Island Wells o Article 15, Title 27: Wild, Scenic and Recreational Rivers o Article 24: Freshwater Wetlands o Article 36: Floodplain Management . Article 25: Tidal Wetlands o Articles 1, 3,17,19, 27,37; 6NYCRR 380: Radiation Control o 6NYCRR 608: Water Quality Certification o Article 27, Title 7; 6NYCRR 360: Solid Waste Manaaement PERMIT ISSUED TO TELEPHONE NUMBER Joan and Harold Kiefer (718) 898-1369 ADDRESS OF PERMITTEE 54-34 64th Street, Flushing, NY 11378 CONTACT PERSON FOR PERMiTTED WORK TELEPHONE NUMBER NAME AND ADDRESS OF PROJECT/FACILITY Kiefer orolllertv, 1115 T errv Lane, Orient, NY 11957 COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold Lona Island Sound DESCRIPTION OF AUTHORIZED ACTIVITY: Construct stairway over bluff to beach. All work must be done in accordance with the attached plans prepared by Harold Kiefer last revised September 4, 2002 and stamped approved by NYSDEC on September 24, 2002. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS Region 1 Headquarters Geor e w.. Hammarth SLA Bid . #40, SUNY, Ston Brook, NY 11790-2356 AUTHORIZED SI~~TURE .// DATE a~ Se tember 24,2002 Page 1 of 4 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under article 78 of the New York Civil Practice laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation law as those prescribed for the permittee. Item C: Permittee ResponSible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, titie, or interest in real or personal property held or vested in a person not a party to the permit. GENERAL CONDITIONS General Condition 1: Facility Inspection by the Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECl 71-0301 and SAPA 401 (3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and speciai conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. General Condition 2: Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg #40, Stony Brook NY 11790-2356 General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit in accordance with 6 NYCRR Part 621. The grounds for modification, suspension or revocation include: a) materially false or inaccurate statements in the permit application or supporting papers; b) failure by the permittee to comply with any terms or conditions of the permit; c) exceeding the scope of the project as described in the permit application; d) newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e) noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. DEC PERMIT NUMBER 1-4738-02353/00003 PAGE 2 OF 4 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (TITLE 5), 24, 25, 34 AND 6NYCRR PART 608 ( TIDAL WETLANDS) 1. If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shail cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shail not be completed, the owners, shail, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove ail or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 2. The State of New York shail in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shail accrue from any such damage. 3. Granting of this permit does not relieve the applicant of the responsibility of obtaining any other permission, consent or approval from the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State Office of General Services or local government which may be required. 4. Ail necessary precautions shail be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 5. Any material dredged in the conduct of the work herein permitted shail be removed evenly, without leaving large refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. 6. There shail be no unreasonable interference with navigation by the work herein authorized. 7. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shail, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove ail or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shail be made against the State of New York on account of any such removal or alteration. 8. Ifgranted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that ail of the conditions listed herein are met. 9. At least 48 hours prior to commencement ofthe project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fuily aware of and understand ail terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work and, if required, a survey. 10. Ail activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved plans were prepared by ..\:loKbla K.ie~(' I/L<;,-t v€-\Itsea Se.r.\e.rnw If) 2-002- arv.l sk~ Ct.-'f~ ~ 1\I~~b~G "Y\ ~kw1.bt.v c94, 2..002., SUl DEC PERMIT NUMBER PAGE 30F4 1-4738-02353/00003 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS 1. Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands and or protected buffer areas. 2. Alteration of the existing grade of the bluff or hill during construction of the stairway is prohibited. 3. The stairway must be elevated a minimum of 3 feet over grade to minimize disturbance or loss of the natural vegetation and reduce the potential for causing or accelerating erosion of the bluff or hill. Disturbance to the natural vegetation or topography seaward of the crest (top) of the bluff or hill must be restricted to an 8 foot wide area, including the width of the stairway, as shown on the approved plans. 4. The storage of construction equipment and materials shall be confined to upland areas landward of the crest of the bluff or hill. DEe PERMIT NUMBER PAGE 4 of4 1-4738-02353/00003 , , of ,<>\O-pe \ tOe \ .'-.---- .-- . ....~~~~~j~~,~:;fr~~~' toPQ~~\ltl __..------- \ ' c.rB!lt ------------ \ ----- \0, \j\- " , , , , , , , , , , , , , , , .' -_.~~-~-_.-- re~et \ , , , , , , , , , , , , , , , , , , Island Long Sound O"'V'lffl ______----J.l:Ad. 150.31' N19036'09"E -_.----- , , VI _ (':>>9. ~'. ~ ".,'__ riI > ,- <(% 00- 0'" :> C) 9-0 c. -' ~ ~1l >" C)~ ('\Q ~-<1 ~O D ~~?-, ~.......\SI3 ~"'~ D c- -.--\-<0 0-:; ~9" \5' ~ W 0 -0 ~\5' 'weS --: 0_ ri\ 4 4 , . . . . . . . . . . . . . . . . . . . . . . . . , . , . /~ \ " ' '" ' I \.~. . Main (SR GRAPHIC SCALE,I"= 60' ~ I N W+E S SURVEY OF PROPERTY 51TUA TEl ORIENT TOV'tN OF SOUTHOLD SUFFOLK COUNTY1 NY SURVEYED 04-28-"1"1 AMENDED Ob-20-"I"1 01-12-"1"1, 12-20-"1"1 03-0b-00, 04-14-00, 0"1-28-00 SUFFOLK COUNTY TAX # 1000 - 14 - 3 - 3 CERTIFIED TO, JOAN D. KIEFER '.D C.::> C~ ," r'--. ~ b = CL <C ,- % 0- :> <;JL--D D9,-'l- a::> a S1J"""l ~D~ ",D -g~3 '" "'~ ~ c- ~ 9" 'lol If)1J ,- % 0- -oCt ').C) 1. "'~ D C:.O- """"I €-\....... -\~ ~ ~ -'-, -,~ ? -, "'~ ~ c- ~ 9" 31 \iQ Ql0H1nos ~O Nlv\Ol S331smll ~O QlI\i09 Aca 03^OllddV NOTES, . o MONUMENT FOUND PIPE FOUND o::rr:o::o fl",e..3 HED6E AREA = b1,214 SF OR 1.54 AC. ELEVATIONS SHO~N HERE ON ARE REFERENCED M.S.L. - N.6.Y.D. 1"12"1 E\:;f;I.e. Road 1*25) 'onl,<ooi..'oom,"<oo,q,ool,f'hl"u",y ~~"U .,to on oClg,n'l or 'he I,~d "urvoyor's "3~O'" "01 .hOll o. con,,~"c"" " o. ,..1\0 l'v' ODD"" 'Cect",cot;onSindiootedh..eOo"noiFythollo15 "UO'"1 ... P".P,"." In .ooo"~onoo with tho ,," ""on Co~. o' P""o'lo. foe ~oM ~uevey' e"OP"~ bV ,ho Now '10"; Stol. '''OC,"''OO Of P"of."IO".] LoM Su""'''.' S.ld c.",I'loo,lon" o~oll "UO 0"1, '0 ,no 0'"000 fO" _hO~ '0. '~rvOy i. O'OP""~ oM 00 ~,. HMlf lo ,,'. 'Hle co~~.ny, gov"cnmon:. '01 on.noy ond lono,o~ 10" Itu"on ll.t." """oon, ono '0 ,~o ""90." 0/ too 1.Mln~ lnoU'uUon, CO"ur,OO- '100" ee. 00' "oool.ro~t. '0 odd I t ion.l in.t i lu,,"n, .U~.u'M'''e" ,lterotion 0" OdOll,On '0 0 5urvo, ~'o """00 0 11'"0'.0 10M 'u'V,,",', ,..I i. " ,,01.',ooo...,lion720R 'Un-0l".,on2, 0""' N.W'or, s,.to E;oucot,onLo. \ Cemetery JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. UC. NO. 50202 RNERHEAD. N.Y. 11901 369-8288 Fax 369-8287 REF.D:\10BS\99-167FD ~,I SOVIVD 1----- ~. flt..w/v1 fiLL MATER jllL PRESSURE T'RIEA/CD P",sT SeT IIV Ct;""'~lYr 5r~ps LAVDIf'J{, 'Ded0 M(., /..{" II )('1 'I 1/ :z ')( I~ ,. f' ,1 ~ )(6 " ,,. -9'.... X (. 1;Z I --------------~ ~-- fltlWf'll/ I )\< '0 C RoSS VI EW DIAGRAJV) .---A/\ --------------- -- -- . -- "-_.. - ~ I ..... H--6c> C._ STA I R lAlA II n,.......1 Q." C'~ APPROVED BY COARD OF TRUSTEES TOWN OF SOUTH OLD ~- 0/;)..11010 ~. 01' st-<1pe / -~ >1 o ... ..... _ 1/" If I I i I.. r.IV<::'f1;::r ,'1fvU!.-u APPROVED t,S PER TERMS AND CONDITIONS OF PER[\4~~~~:3S3/0 0003 DA TE . 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